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儿童双边白内障手术:即时顺序手术与延迟顺序手术

Helen Wondem1, Sheldon Stohl2, Zoma Tede3

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PubMed
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在儿童中,立即连续的双边白内障手术 (ISBCS) 与延迟手术 (DSBCS) 一样安全,麻醉暴露较少,住院时间较短. 这种方法为儿科白内障治疗提供了一个安全的替代方案.

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科学领域:

  • 眼科医生 眼科 眼科
  • 儿科手术 儿科手术
  • 麻醉学 麻醉学

背景情况:

  • 婴儿双边白内障手术提供了手术时间选择.
  • 立即顺序双边白内障手术 (ISBCS) 和延迟顺序双边白内障手术 (DSBCS) 是两种这种方法.
  • 对比并发症率和资源利用率对于优化儿科护理至关重要.

研究的目的:

  • 在儿科患者中比较ISBCS和DSBCS之间的眼部和麻醉相关并发症.
  • 为了评估麻醉时间,手术干预和住院的差异.

主要方法:

  • 对0-24个月龄的儿童的医疗记录的回顾性审查,这些儿童在2012年至2021年期间接受了双边白内障手术.
  • 纳入标准:阿法基亚和至少1年的随访.
  • 在ISBCS和DSBCS组之间比较并发症率,麻醉持续时间,手术时间和医院资源使用.

主要成果:

  • 其中包括56名儿童:23名ISBCS,33名DSBCS. 手术时的平均年龄相似 (2.6个月对2.8个月).
  • ISBCS组的平均麻醉时间较短 (P < 0.001) 和住院夜晚较少 (P < 0.001).
  • 眼睛和麻醉并发症的发生率相似;没有内眼炎病例. 总程序时间和后续访问是可比的.

结论:

  • 与DSBCS相比,儿童的ISBCS与眼部或麻醉相关并发症的增加无关.
  • 通过避免重复麻醉和减少总麻醉暴露时间,ISBCS提供了好处.
  • 这表明ISBCS是儿童双边白内障手术的安全和潜在更有效的选择.